| NPI | 1467902502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORI DOTSON Administrative Manager 951-847-8010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |