| NPI | 1972022937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYRON MCLEAN Chief Financial Officer 951-742-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 336411179) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 336411179) |
| 251S00000X Community/Behavioral Health (Licence: CA 336411179) | |
| 253J00000X Foster Care Agency (Licence: CA 336411179) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA 336411179) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 336411179) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 336411179) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 336411179) | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: CA 336411179) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2020-06-25 |