| NPI | 1396126322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CRYSTAL THORNTON Counselor 951-894-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-07-21 |