| NPI | 1699053645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY APERULE Program Manager 619-285-1718 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA I8339110) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |