| NPI | 1861754723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD L TRUAX CEO 951-294-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |