NPI | 1396540258 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA GRUTZ Owner 760-567-7006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-02-14 |
Last Update Date | 2025-02-14 |