| NPI | 1962369728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BRADY CEO 760-620-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |