| NPI | 1386469237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY KULETO CEO 858-692-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |