| NPI | 1912041120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOI R FRELOW Behavioral Health Specialist Iii 951-276-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NA) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-06-25 |