| NPI | 1356113120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M. MCQUEEN Psychological Director 619-245-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-03-27 |