| NPI | 1376883108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ M. FERNANDEZ Director 619-401-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 669930) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |