| NPI | 1851760938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RUSSI CEO 951-427-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300332CP) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2017-11-06 |