| NPI | 1700207735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUAWANNA THOMPSON President 951-567-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |