| NPI | 1184264533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HAYDEN Clinical Supervisor 858-848-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist Counseling | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-12-20 |