| NPI | 1538997671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GILKEY Director Of Office Administration 951-330-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |