| NPI | 1225054927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CARRILLO President 858-848-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CA A62084) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-04-01 |