| NPI | 1134995277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA GUTIERREZ Owner 760-539-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |