| NPI | 1265612246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA GENE BURLEIGH Administrative Assistant 619-588-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 370069BN) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-07-29 |