| NPI | 1063966315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MEGAN STEINER Trainee 619-991-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |