| NPI | 1578945440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHLOAS RUSSI Administrator And Director 951-427-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |