| NPI | 1720417892 |
|---|---|
| Doing Business As | AJ'S AMETHYST HOUSE |
| Entity Type | Organization |
| Authorized Contact | ARLEAN JEAN TRUAX Executive Director 951-294-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |