| NPI | 1972656056 |
|---|---|
| Other Name | CAT - EPSDT |
| Entity Type | Organization |
| Authorized Contact | KATHRYN LEMBO Executive Director 619-420-3620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-08-02 |