| NPI | 1497943336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MUSSO Department Director 619-420-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 251S00000X) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2026-01-14 |