| NPI | 1902784341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON TORRES Director 619-547-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |