| NPI | 1770289373 |
|---|---|
| Doing Business As | LIVED EXPERIENCES |
| Entity Type | Organization |
| Authorized Contact | OSCARIN ORTEGA CEO 619-368-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 332U00000X Home Delivered Meals | |
| 251S00000X | |
| 174200000X | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-09 |