| NPI | 1801039094 |
|---|---|
| Doing Business As | EASTLAKE COMMUNITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID PALITZ Owner 619-271-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC41250) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-04-13 |