| NPI | 1952328700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK FARMER CAO 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-02-22 |