NPI | 1831541986 |
---|---|
Doing Business As | THE HAVEN AT PISMO |
Entity Type | Organization |
Authorized Contact | ARI HIRT Owner/CEO 805-202-3440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 400009BP) |
Enumeration Date | 2016-07-12 |
Last Update Date | 2019-03-01 |