| NPI | 1669228995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD H REDMAN Owner 760-917-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |