| NPI | 1376371187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA ESCARRZAGA GUTIERREZ Support Staff 951-732-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |