| NPI | 1013616564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL JOHNSON CEO 619-800-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |