| NPI | 1205952322 |
|---|---|
| Other Name | CARLTON G. LUHMAN CENTER FOR SUPPORTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | MARIE MCKENZIE Executive Vice President/COO 619-228-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-11-11 |