| NPI | 1043859077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILYAN HASSAINE President 619-408-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-05-12 |