NPI | 1114622693 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR MEDINA CEO 619-259-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
171M00000X Case Manager/Care Coordinator | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-04-03 |
Last Update Date | 2024-04-25 |