| NPI | 1114676616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ROSENGREN CEO 858-432-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |