| NPI | 1902143464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK MONROE CFO 951-334-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 631916) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2023-05-25 |