| NPI | 1215814447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID LISTVINSKY Chief Executive Officer 619-324-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |