NPI | 1285013672 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK GLADDEN Owner, CEO 619-363-4767 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370148AP) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |