| NPI | 1952164675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI MWANGI Administrator 858-386-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-09-05 |