| NPI | 1811721855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MATTSON President And CEO 619-662-4100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |