| NPI | 1184858722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE AUSTAIN SUITER President 619-326-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 1039) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2023-09-06 |