NPI | 1104219377 |
---|---|
Doing Business As | FOUNDATIONS SAN DIEGO |
Entity Type | Organization |
Authorized Contact | STEVE FILTON EVP Chief Financial Officer 610-382-3319 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 370146AP) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2019-05-15 |