| 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 |