NPI | 1831803055 |
---|---|
Other Name | HEALING OAKS CLINIC SUD |
Entity Type | Organization |
Authorized Contact | RICHARD GRANSTAFF Program Director 619-859-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-01-11 |
Last Update Date | 2024-04-30 |