| NPI | 1629839972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN VERNER Executive Director 619-818-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |