| NPI | 1962740019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ZVIRZIN Program Manager 760-721-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |