| NPI | 1770038663 |
|---|---|
| Doing Business As | THE HAVEN AT PISMO |
| Entity Type | Organization |
| Authorized Contact | ARI HIRT CEO 310-502-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 400009CP) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |