| NPI | 1376134247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LEE Owner 858-209-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |