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 |