| NPI | 1538984844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVRON YOUNG Overnight Monitor 619-465-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |