| NPI | 1801341482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HENGEL Accounting 951-683-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |