| NPI | 1487044350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY P GINES Licensee/Administrator 619-261-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA RCFE374603181) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |