| NPI | 1780196972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN BRALY Counsellor 619-674-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA A042941116) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A042941116) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA A042941116) | |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |