| NPI | 1265633689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SHAW Clinical Psychologist, Director 858-492-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: CA PSY18351) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA PSY18351) |
| 251S00000X Community/Behavioral Health (Licence: CA PSY18351) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |