| NPI | 1972077899 |
|---|---|
| Doing Business As | UPAC NEW LEAF RECOVERY CENTER SOUTH |
| Entity Type | Organization |
| Authorized Contact | SUNNYO PAK Program Director 619-521-5720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2021-04-09 |