| NPI | 1144891599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MONTANA CEO 760-636-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-08 |