| NPI | 1942411996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCGUIRE President 909-821-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 190419DP) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-01-18 |