| NPI | 1073495255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA VAUGHN Executive Director 619-838-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-09-01 |