| NPI | 1730414707 |
|---|---|
| Other Name | OMEGA / BETA PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DERRICK BRUCE HARVEY Executive Director 951-674-7354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 330009QN) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |