| NPI | 1104685486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED AHMED Director 619-587-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |