| NPI | 1427656651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIYA ALASOW Owner 858-216-5617 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |