| NPI | 1487055380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOB BRUHIN Executive Director 619-756-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370138AP) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2021-09-01 |