| NPI | 1952990392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SCHLIEKELMAN Executive Assistant 805-813-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-05-12 |