| NPI | 1386010635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA L FLORES Assistant Director, Sud Services 424-227-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 3720) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-12-31 |