| NPI | 1437952330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H. RAYNER Owner 619-255-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |