| NPI | 1558860726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN ZAFAR CEO 858-775-7752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 370165AP) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |