| NPI | 1750307468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JANE COOK Business Manager 760-944-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-02-28 |