| NPI | 1992014799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CHURCH Director Of Student Health 760-776-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |