| NPI | 1053022772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA RETUYA Business Office Manager 619-840-0734 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |