| NPI | 1750408464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P. BESS Contracts & Hr Manager 619-278-0777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-07-24 |