| NPI | 1104389204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ENGBRECHT Vice President 858-254-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |