| NPI | 1730324849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY LYNN JONES Inte RN 619-692-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA ASW24487) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |