| NPI | 1225618341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI Owner 858-386-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-11-27 |