| NPI | 1639663230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGESH DESAI CEO 760-318-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330027AP) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330027BP) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-09-02 |