| NPI | 1154901684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA UBILLA President 855-224-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-08-19 |