| NPI | 1083928220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI BURKLOW Director 760-243-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 360030AN) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |