| NPI | 1922630664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MOHAMED Administrator 619-817-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |