NPI | 1720375314 |
---|---|
Doing Business As | BETA |
Entity Type | Organization |
Authorized Contact | LOIS ANN EASTERLING Contract Administrator 951-674-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2011-07-01 |
Last Update Date | 2011-07-01 |