| NPI | 1194575019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN VICTORIA BRUASKI President 619-213-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |