| NPI | 1205583861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS C LONG Director, President 619-920-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |