| NPI | 1023691763 |
|---|---|
| Doing Business As | LANDIS AVENUE FAMILY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | RICARDO ROMAN Chief Financial Officer 619-515-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-02-20 |