| NPI | 1831223247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BOATMAN Program Director 619-521-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-09-12 |