| NPI | 1972755296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEJOSE BALLEZA RUIZ Mental Health Peer Specialist 619-847-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2011-01-31 |