| NPI | 1861023301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY HOSLAR Program Director 858-220-9519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-12 |