| NPI | 1255883179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SCHMIDT Therapist 619-737-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 95732) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |