| NPI | 1013731538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE BERGMANN Director,Behavioral Health Services 619-507-6678 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |