| NPI | 1568803252 |
|---|---|
| Other Name | AJ'S AMETHYST HOUSE |
| Entity Type | Organization |
| Authorized Contact | ARLEAN J TRUAX Executive Director 951-294-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |