| NPI | 1700596848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGITTE HOWARD CEO 951-360-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-01-12 |