| NPI | 1245923853 |
|---|---|
| Doing Business As | KELLY KAITSON PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KELLY KAITSON President 760-415-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-08-28 |