| NPI | 1124539960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HIMMELBERGER Executive Director 619-297-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 370024KN) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-02-19 |