NPI | 1194972174 |
---|---|
Other Name | ECBHC SCHOOL BASED EPSDT |
Entity Type | Organization |
Authorized Contact | WALTER PHILIPS Chief Executive Officer 619-221-8601 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 37GC) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2013-04-04 |