| NPI | 1366130460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN DAHIR CEO 619-734-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |