| NPI | 1356050066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIIRA HUSSEIN Owner 858-405-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |