| NPI | 1700160470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ERKENBECK Clinical Supervisor 619-556-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC34604) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |