| NPI | 1114049186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY MONROE Executive Director 619-236-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370021AN) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |