| NPI | 1689868010 |
|---|---|
| Doing Business As | PRIME ALLY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JESSICA HANLY Controller 619-470-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 37JW) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: CA 090000086) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-03-27 |