| NPI | 1023862018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBSA ALI Owner 619-808-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-01-02 |