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 |