| NPI | 1538511605 |
|---|---|
| Other Name | GENESIS RECOVERY SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | TOMMY HATHORN Executive Director 858-717-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |