| NPI | 1902428089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY GENOVEVA FUENTES CEO 619-779-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-05-23 |