| NPI | 1235357203 |
|---|---|
| Other Name | BRAWLEY VISTA SANDS |
| Entity Type | Organization |
| Authorized Contact | LETICIA PLANCARTE-GARCIA Director 442-265-1604 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-01-10 |