| NPI | 1265838023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEE SPENCER Supervisor 760-256-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 0) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2022-07-21 |