| NPI | 1639385081 |
|---|---|
| Doing Business As | PRIME ALLY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LUIS LEON CEO 619-470-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 090000086) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-08-14 |