NPI | 1518119965 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN GROVE President 760-242-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 360078AP) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2012-11-29 |