| NPI | 1083042311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA GOOD President 619-210-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA AC15584) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-11-01 |