| NPI | 1730303538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MICHELLE ALTAMIRANO Substance Abuse Counselor 858-505-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-08-07 |