| 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 |