| NPI | 1932491271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F BISHARA Physician 951-787-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 00A432060) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |