| NPI | 1942536230 |
|---|---|
| Other Name | OMEGA / BETA PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DERRICK BRUCE HARVEY Executive Director 951-674-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 330009ON) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |