| NPI | 1134774128 |
|---|---|
| Doing Business As | NA INCREDIBLE FAMILIES SOUTH |
| Entity Type | Organization |
| Authorized Contact | LINDA M NICHOLS Qa Director 619-892-8700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-11-16 |