| NPI | 1871000406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA HERRERA Program Manager 760-721-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |