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 |