| NPI | 1578693065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM LEE BLASER Executive Director 619-235-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370011AN) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |