| NPI | 1578746103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA SUZANNE WOELK Program Director 760-741-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 01-980444) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |