| NPI | 1164608725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STAGGS Executive Director 760-321-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330072BP) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |