| NPI | 1013339084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKESHIA NIDAY President 619-500-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA A113548) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA A113548) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |