| NPI | 1962009845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOB BRUHIN Chief Executive Officer 619-756-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-12-28 |