| NPI | 1467096818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH REID Executive Director 951-530-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |