NPI | 1679851513 |
---|---|
Doing Business As | BETA PROGRAM |
Entity Type | Organization |
Authorized Contact | BERNARD L TRUAX CEO/Chairman Of The Board 951-674-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |