| NPI | 1508372186 |
|---|---|
| Other Name | MEN'S SUBSTANCE ABUSE RECOVERY HOME |
| Entity Type | Organization |
| Authorized Contact | DORI DOTSON Admin Manager 951-788-9515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |