| NPI | 1215409057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L SANDERS Owner 619-363-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-03-07 |