| NPI | 1497034110 |
|---|---|
| Other Name | GROUP HOME SOUTH |
| Entity Type | Organization |
| Authorized Contact | SANDRA RAMIREZ-PLAZA House Manager 619-646-2359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |