| NPI | 1366895302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN VALDEZ President/Owner/Medical Director 951-652-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA G79406) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-15 |