| NPI | 1063133643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC ALARCON Nurse Practitioner 619-471-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |