| NPI | 1477925618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RUSSI CEO 951-427-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 300332DP) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2017-11-14 |