NPI | 1295898963 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL KNIGHT Director 619-575-4687 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 370808447) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-08-22 |