| NPI | 1760753198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG REISS Chief Operating Officer 858-837-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS 12382) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |