| NPI | 1053615039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITILOLA HARRIET ADANRITAYLOR President/CEO 619-334-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 643553) |
| 273Y00000X Rehabilitation Unit | |
| 282E00000X Long Term Care Hospital | |
| 282N00000X General Acute Care Hospital (Licence: CA 643553) | |
| 283Q00000X Psychiatric Hospital | |
| 283X00000X Rehabilitation Hospital (Licence: CA 643553) | |
| 286500000X Military Hospital (Licence: CA 643553) | |
| 310400000X Assisted Living Facility | |
| 310400000X Assisted Living Facility (Licence: CA 643553) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA 643553) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 643553) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 643553) | |
| 385H00000X Respite Care (Licence: CA 643553) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |