| NPI | 1235400490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA EWING MARTO Executive Director 619-546-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251B00000X Case Management (Licence: CA 45174) | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |