| NPI | 1578428199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIKARIM A HUSSEIN CEO 619-750-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |