| NPI | 1164161790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ZIPKIN Owner/Lmft 619-881-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |