| NPI | 1962333294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BROWN Owner 909-653-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-26 |
| Last Update Date | 2026-05-28 |