| NPI | 1205951829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MARSHBURN Executive Director 760-741-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 080000523) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |