| NPI | 1205542008 |
|---|---|
| Doing Business As | BREAKWATER PSYCHIATRY AND MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAMES CAMP Owner 619-993-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2025-02-25 |