| NPI | 1093427387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JONES Director 760-881-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |