NPI | 1548531064 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM EJINDU Executive Director 909-622-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-01-13 |