| NPI | 1033235718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILSON Director 858-576-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 14677) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |