| NPI | 1821282161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MUTABAZI CEO 760-240-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 366412361) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |