| NPI | 1033545066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN FALVEY Clinical Manager 619-702-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |