| NPI | 1881335438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA N MCMAHON Compliance Officer 619-871-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |