| NPI | 1124807896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFAH S GRADY Director 858-253-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |