| NPI | 1174703904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST VISPERAS DE GUZMAN President 619-295-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA A95424) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |