| NPI | 1336944909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR GROVE Chief Executive Officer 619-752-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-24 |