| NPI | 1568120145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GILKEY Office Manager 760-231-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |