| NPI | 1598455859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA VAUGHN Executive Director 619-729-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |