| NPI | 1467833020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARR Administrator 858-397-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |