NPI | 1750902326 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP MARK MILGRAM CEO 858-776-0544 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
261QH0100X Clinic/Center, Health Services | |
261QI0500X Clinic/Center, Infusion Therapy | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2020-05-05 |
Last Update Date | 2023-05-28 |