| NPI | 1679178396 |
|---|---|
| Doing Business As | BORN FOR NIA MATERNITY HOME - MORENO VALLEY |
| Entity Type | Organization |
| Authorized Contact | DRETONA TENESE MADDOX Executive Director 909-471-0697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |