| NPI | 1629796149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY HEIM Partner 858-342-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-05-21 |