| NPI | 1104360965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL CALDERON-AGUIRRE Owner Therapist 619-808-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 71796) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-02-22 |