| NPI | 1609303924 |
|---|---|
| Doing Business As | IMMERSIVE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | WESLEY HEIM Program Administrator 858-342-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-09-07 |