| NPI | 1548024300 |
|---|---|
| Other Name | VISTA DEL MAR CHILD AND FAMILY SERVICES SUD OUTPATIENT TREATMENT PROG |
| Entity Type | Organization |
| Authorized Contact | CHERYL CARRINGTON Dir Quality, Standards & Compliance 310-836-1223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |