| NPI | 1215608476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYIN THOMPSON Director 619-996-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |