| NPI | 1376913483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK L. SMITH M.D./Medical Director 760-779-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330134AP) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |