NPI | 1447968516 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER COLEMAN Manager 858-243-6812 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-08 |
Last Update Date | 2022-11-08 |