| NPI | 1710528633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY S. BEYER Program Director 619-579-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2021-05-20 |