| NPI | 1447466685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON REINICKE Director 619-298-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |