| NPI | 1588494827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEA S BLAIR Program Director 909-300-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-11-25 |