| NPI | 1639944689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA PERSONS Owner 619-227-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |