| NPI | 1073789558 |
|---|---|
| Other Name | CVLY--LOS COCHES CREEK MIDDLE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E BRUICH CEO 619-543-0293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2011-04-20 |