| NPI | 1932251550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BOYLAN Director 619-286-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 37-19) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-11-29 |