| NPI | 1568904894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTIMUS STEPHENSON JENKINS Executive Director 909-461-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2017-02-22 |