| NPI | 1841973757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED AHMED CEO 619-315-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-08-12 |