| NPI | 1184491300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOB BRUHIN CEO 619-756-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |