| NPI | 1962898437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J. PEREA President 760-887-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360103AN) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-06-26 |