| NPI | 1356949226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY HOSLAR Program Director 858-220-9519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-27 |