| NPI | 1023876679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M MACHARIA Administrator 858-603-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |