| NPI | 1336472869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDRA MARINOVIC Psychologist 858-349-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 22507) |
| Additional Taxonomies | 251S00000X (Licence: CA 22507) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |