| NPI | 1497253561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH PORTIGAL Vice Presi 951-813-2597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2025-09-03 |