| NPI | 1578601084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE GALLON Personal Service COO Rdinator Ii 619-398-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |