| NPI | 1780978882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLENE EDUVALA Senior Community Health Program Rep 619-543-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: N/A) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |