| NPI | 1437994944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMOND NELSON Executive Director 760-905-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |