| NPI | 1528195609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAPHET OKEY Program Director 951-243-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13102) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |