| 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 | 2025-04-11 |