| NPI | 1295504322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALBERT BRYAN Owner 760-390-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |