| NPI | 1568808509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI BURKLOW Executive Director 760-243-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 360030AN) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |