| NPI | 1235508615 |
|---|---|
| Doing Business As | DALE AVENUE TEEN RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNE AUDREY MCALISTER Founder And CEO 619-442-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-11-02 |