NPI | 1942895065 |
---|---|
Entity Type | Organization |
Authorized Contact | ABOO NASAR Owner/CEO 619-354-4694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2021-03-02 |
Last Update Date | 2025-02-20 |