| NPI | 1417484312 |
|---|---|
| Doing Business As | COLLABORATIVE PSYCH |
| Entity Type | Organization |
| Authorized Contact | PATRICIA TAYLOR Lfmt 760-585-5680 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 85355) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 85355) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 85355) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |