| NPI | 1376756817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. BRUICH CEO 619-543-0293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-08-14 |