| NPI | 1689258188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SILADI Clinical Coordinator 619-376-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |