| NPI | 1326551490 |
|---|---|
| Doing Business As | SOUTH BAY IMPACT |
| Entity Type | Organization |
| Authorized Contact | JACK FARMER Chief Administrative Officer 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-12-05 |