| NPI | 1134542723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA TRUJILLO Citizen 619-755-2830 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-02-02 |