| NPI | 1164213690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY VINCENT Owner/Licensed Psychologist 760-278-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |