| NPI | 1235542887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO MARTINEZ HUERTA Director 760-808-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 2108) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |