| NPI | 1467335687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN COZETE ELLISON Founder And Clinical Director 760-836-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-28 |