| NPI | 1760111314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR MEDINA CEO 619-259-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 385H00000X Respite Care |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 251X00000X | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |