| 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 |