| NPI | 1487119749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CARAVELLA Owner 760-607-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2020-03-04 |