| NPI | 1083863559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANN LARSON Associate Clinical Social Worker 619-497-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |