| NPI | 1558946731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONORA JENKINS CEO 760-697-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |