| NPI | 1770770364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBET CASTANEDA Behavioral Health Specialist Ii 951-358-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA D1655163) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |