| 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 | 374U00000X Home Health Aide |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-07-23 |