| NPI | 1871160408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HATHORN CEO 858-717-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-05-02 |