| NPI | 1194318097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MOHAMUD MOHAMED CEO 619-817-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |