| NPI | 1760522866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO PEREZ Supervisor 951-955-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 203357) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |