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 |