| NPI | 1093955304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB SHAWAHI CEO 760-631-7550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 336401070) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2010-03-12 |