| NPI | 1619305760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI MICHELLE HOBSON Drug And Alcohol Counselor 909-918-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |