| NPI | 1215413539 |
|---|---|
| Other Name | BERRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | VALERIE GUADALUPE CENTENO Clinical Director 619-420-3620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-12-09 |