| NPI | 1871917971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BLAIR STAM Executive Vice President 951-520-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: TX 00000000) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2015-11-02 |