| NPI | 1740642008 |
|---|---|
| Doing Business As | IMPACT |
| Entity Type | Organization |
| Authorized Contact | BOB MARCHETTI CFO 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 37JC) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |