NPI | 1093937591 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LEE HUFFAKER Operations Manager 619-478-5696 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370004AN) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-31 |