| NPI | 1710793807 |
|---|---|
| Doing Business As | IMMANUEL HOUSE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH REID Executive Director 951-530-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |