| NPI | 1114765229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MEDINA President 619-455-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 251X00000X | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-10-23 |