NPI | 1821263922 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNON ALBERT HOLM Alcohol Or Other Drug Counselor 909-592-6897 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-06-17 |