| NPI | 1285986430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEE RICHARDSON Program Director 619-262-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 37-07) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |