| NPI | 1891451761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA C JASDANWALA CEO 760-908-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |