NPI | 1740655935 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD B MOSS CEO 619-742-6035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G79340) |
Enumeration Date | 2015-12-14 |
Last Update Date | 2015-12-14 |