| NPI | 1265182992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR MEDINA CEO 619-259-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251X00000X | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-10-16 |