NPI | 1063242972 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDULQANI SHARIF Director 619-773-5752 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2024-08-05 |
Last Update Date | 2024-08-05 |