| NPI | 1518721786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH CACHU Program Director 657-651-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-03-15 |