| NPI | 1558600346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY SIMONS CFO 858-345-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2025-06-25 |