| NPI | 1073229175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN HEISTER President 760-846-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-05-16 |