| NPI | 1356086037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY WENDY MUTHONI Administrator 858-344-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |