| NPI | 1639796659 |
|---|---|
| Other Name | EL CENTRO CHILDREN AND ADOLESCENT OUTPATIENT CLINIC TEAM 12 |
| Entity Type | Organization |
| Authorized Contact | ANDEA KUHLEN Director 442-265-1546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |