| NPI | 1336426352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WALPOLE Mental Health Services Supervisor 760-863-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |