| NPI | 1508297276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLEEN P HUGHES Ex Director 951-652-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |