| NPI | 1669801981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CELESTE JOHNSON Administrative Assistant 619-655-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |