| NPI | 1235950080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR V MEDINA CEO 619-259-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |