| NPI | 1790288116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GLADDEN Program Director 951-662-5688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2021-05-03 |