| NPI | 1255509485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F BUCKY Psychologist 619-464-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY3939) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-15 |