| NPI | 1750509014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESUT INCI Qmhw 805-636-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |