NPI | 1639933872 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY GREER Director 951-999-1277 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-02-08 |
Last Update Date | 2024-02-08 |