| NPI | 1386537868 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YAKUBA BROWN Executive Director 951-478-7178 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 175T00000X Peer Specialist | |
| 171W00000X Contractor | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-06-02 | 
| Last Update Date | 2025-06-02 |