| NPI | 1649042664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO JOHNSON Chief Of Operations 858-289-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251E00000X Home Health | |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-25 |