| NPI | 1528382512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS VILLAFAN VP/COO 710-590-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 5586) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |