| NPI | 1902808744 |
|---|---|
| Other Name | THE FELLOWSHIP CENTER |
| Entity Type | Organization |
| Authorized Contact | RAYMOND J DICICCIO Program Director 760-745-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370009AN) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2018-10-19 |