| NPI | 1083991996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. ALLEN RUYLE Sole Practitioner 619-213-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS26809) |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2013-05-01 |