| NPI | 1699532408 |
|---|---|
| Doing Business As | SAN MARINO IN THE DESERT |
| Entity Type | Organization |
| Authorized Contact | EDWARD KRIVITSKY General Partner 818-371-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |