| NPI | 1205982170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLETT JEAN GUIZAR Substance Abuse Counselor I 760-562-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |