| NPI | 1790007185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM EJINDU Program Director 951-682-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |