| NPI | 1063589620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ALLRED Administrator 619-445-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-05-19 |