| NPI | 1447055710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANIYAH HAMDAN Owner 951-310-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-07-16 |