| NPI | 1619094984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GARRISON Substance Aubse Counselor Ii 760-353-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |