| NPI | 1689906851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SEPULVEDA Executive Director 858-410-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |