| NPI | 1932709177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BERCASIO Executive Director 619-213-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-12-09 |