| NPI | 1326660804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE BARNES Owner 619-261-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-12 |