| NPI | 1457020620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNTIS BUSSEY Owner / CEO 858-829-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-02-18 |