| NPI | 1184098345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH NUNNINK Owner 619-737-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY21661) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |