| NPI | 1386857332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY D AYERS CEO 619-638-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A42793) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |