| NPI | 1881819621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA MARIA COSTELLO Executive Director 619-296-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370002AN) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |