NPI | 1578277737 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY WARFIELD CEO 760-449-0367 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-01-11 |