| NPI | 1891916292 |
|---|---|
| Doing Business As | SOUTH BAY TEEN RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNE MCALISTER Chief Executive Officer 619-442-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 370045ADN) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-09-18 |