| NPI | 1831302371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS U VINHELLENS Executive Director 909-865-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190544AN) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-09-14 |