| NPI | 1013393511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYA KAKAIYA Clinical Director 858-622-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY14052) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |