| NPI | 1083208441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIYA ALASOW Owner 858-216-5617 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |