| NPI | 1225618341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI Owner 858-386-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-03-08 |