| NPI | 1609184035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELINA JAIME Director 619-266-2111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |