| NPI | 1871239426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SANCHEZ Director 951-805-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-10-17 |