| NPI | 1902252000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWIT ARZADON DALUSONG Lead Ibi Manager 951-288-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-10-7214) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |