| NPI | 1821483264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LITTLE Medical Director 951-894-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 3307) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |