| NPI | 1831826932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY WAYMIRE Director, Business Operations 760-420-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |