| NPI | 1164870705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CASE Program Manager 619-990-6320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-11-16 |