| NPI | 1174180822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONICE KRUEGER Licenced Psychologist, Director 619-865-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |