| NPI | 1225472772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RYAN ALLEN Executive Clinical Director 619-713-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |