NPI | 1366240301 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA L ABBOTT Chief Executive Officer 760-912-5553 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-03-05 |