| NPI | 1376081323 |
|---|---|
| Other Name | WILSHIRE HOUSE |
| Entity Type | Organization |
| Authorized Contact | DORI DOTSON Admin 951-788-9515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-03-17 |