| NPI | 1568757185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R REED Executive Director 619-263-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 370102BN) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |