| NPI | 1962606475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOM BETRO President/ CEO 951-686-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-11-03 |