| NPI | 1063053726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA (NASTASSIA) E RISER Clinical Director 760-492-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |