| NPI | 1922387935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORYCE M AGUIRRE Administrative Director 951-254-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |