NPI | 1689851917 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSSYE COOK Chief Executive Officer 951-683-6596 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-01-29 |
Last Update Date | 2025-02-17 |