| NPI | 1336659002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L YOUNG Owner 858-264-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2024-05-17 |