| NPI | 1336037324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER GOSSETT CEO 858-254-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |