| NPI | 1952617102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED M HSEINO Intern 858-357-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |