| NPI | 1003545005 |
|---|---|
| Doing Business As | SOUTHWEST TEEN RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARISA CATHERINE DJ VAROND CEO 619-442-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-02-10 |