| NPI | 1023341344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN VALES Vice President 619-283-9624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2019-05-13 |