| NPI | 1417188871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYA FONSECA Counselor 858-373-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-01-17 |