| NPI | 1366999237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE JAZZ IRIZARRY Owner/License Clinical Social Worke 760-284-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCSW71291) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-10 |