| NPI | 1184836215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MARIE MCGVIEN Senior Team 760-739-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC36490) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |