| NPI | 1306211826 |
|---|---|
| Doing Business As | SOUTHLAND MENTAL HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS PRYSTASH Director 951-526-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC24093) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |