| NPI | 1073841276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA JAJODIA Director 858-353-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 23133) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PSY 23133) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY 23133) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY 23133) | |
| Enumeration Date | 2009-11-27 |
| Last Update Date | 2019-10-22 |