NPI | 1114411386 |
---|---|
Doing Business As | NEW ENTRA CASA |
Entity Type | Organization |
Authorized Contact | KIMBERLY SUE DUIN Executive Director 619-294-4526 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 370083AN) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2019-10-03 |