| NPI | 1275219123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA N MCMAHON Compliance 619-871-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |