| NPI | 1255667820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGENA BOUCARD CAINES Chief Executive Officer 760-525-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 20A5178) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |