NPI | 1265136758 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MCMAHON Compliance 619-871-7345 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-03-28 |
Last Update Date | 2023-03-28 |