| NPI | 1285138230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN EDWARD VERNER Executive Director 619-818-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 37006AN) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-09-06 |