| NPI | 1699182311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIANA YADIRA PERALTA Mental Health Worker 760-863-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |