| NPI | 1417320060 |
|---|---|
| Doing Business As | NEW LIFE SU - INDIO PROBATION |
| Entity Type | Organization |
| Authorized Contact | JERRY WENGERD Director Of Mental Health 951-358-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |