| NPI | 1932610771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HIMMELBERGER Executive Director 619-297-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 370024IN) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-05-27 |