| NPI | 1548536956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS ANN EASTERLING Accounting Manager 951-216-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |