| NPI | 1184061210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX HALLIG-RODRIGUEZ Compliance Director 760-256-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-05-11 |