| NPI | 1558808832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI JOYCE RICHARDS Manager 951-795-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV NV20171009281) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |