| NPI | 1770756074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MEAGHER CEO 858-490-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 171100000X Acupuncturist |
| 171M00000X Case Manager/Care Coordinator | |
| 261Q00000X Clinic/Center | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center Recovery Care | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |