| NPI | 1134374432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY D AYERS CEO 619-683-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A42793) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2015-04-24 |