| NPI | 1023888963 |
|---|---|
| Doing Business As | INTENSIVE OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MISTY HOWARD Qa Director 858-569-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-04 |