| NPI | 1831560531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LENNOX Cd Counselor 951-443-9758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8250912) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |