| NPI | 1730790247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARAINIA CORENE BARKUS Employee 909-246-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-08-05 |