| NPI | 1568604452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJO LOERA Behavioral Health Specialist Iii 760-347-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA RW2331) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |