| NPI | 1427272194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOE GEORGE GUTIERREZ Behavioral Health Specialist Iii 760-863-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |