| NPI | 1629434865 |
|---|---|
| Doing Business As | RANCHO BUENA VISTA HIGH TEEN RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AUDREY JEANNE MCALISTER Founder And CEO 619-442-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-05-12 |