| NPI | 1801346655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDERICO ESCOBEDO JARQUE Clinical Director 909-628-1217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-11-30 |