| NPI | 1184866816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORAH WILSON Director 619-442-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 1-06-2991) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |