| NPI | 1114622693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR MEDINA CEO 619-259-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-10-03 |