| NPI | 1831235837 |
|---|---|
| Doing Business As | HOME AVENUE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BOBBY W STEARNS Clinic Director 619-519-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 3707) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |