| NPI | 1518706324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT SMITH CEO 760-851-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |