| NPI | 1679118848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MARCEL FLISHER Owner 619-772-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |