| NPI | 1255778932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX HALLIG-RODRIGUEZ Compliance Director 760-256-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-05-11 |