| NPI | 1518311547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIUKI KUNGU Program COO Rdinator 951-707-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4847) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2019-08-09 |