| NPI | 1992479521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANNE BARGER Registered Alcohol/Drug Technician 951-390-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |