NPI | 1861879116 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY STEPHENSON Vice President Of Finance 619-820-0034 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 197608837) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 197608836) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2023-05-24 |