| NPI | 1831989029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN JEROME Owner 951-473-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2026-06-04 |