| NPI | 1487128740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE Z. KRISTO Chief Executive Officer 951-923-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-06-11 |