| NPI | 1134815822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WITT Chief Financial Officer 858-888-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |