| NPI | 1366940397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WATERS Executive Director 858-603-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-04-24 |