| NPI | 1568879591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR STEVEN JORDAN Chief Of Mental Health 909-606-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA psy13916) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |