| NPI | 1144644170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAAL MEHRA President 858-278-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA A67412) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2015-11-05 |