| NPI | 1992312227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOB BRUHIN Chief Executive Officer 619-756-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2022-12-28 |