| NPI | 1043777907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE TIERNAN Clinical Director 619-659-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2021-05-19 |