| NPI | 1689186652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WATSON Mental Health Programs Director 760-285-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |