| NPI | 1922790906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LELIA BAKER Executive Director 760-385-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1000X Clinic/Center Migrant Health | |
| 261QR0800X Clinic/Center Recovery Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-07-15 |