| NPI | 1972301927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS CHAMBERLIN TYLER Chief Compliance Officer 760-305-7528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |