| NPI | 1770907495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SWANSON CEO 909-243-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360098AP) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2015-09-02 |