| NPI | 1265927677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M NICHOLS Qa Director 858-278-2847 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-08-14 |