| NPI | 1598960874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURINE WHITE Project Manager 909-792-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |