| NPI | 1013119569 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH YOUTH ENHANCEMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRIAN WALLACE VP/CFO 619-662-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-06-03 |