| NPI | 1982197547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A HILLE President 951-565-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC48095) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |