| NPI | 1346830429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HUGHES Owner 619-330-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2022-06-24 |