| NPI | 1518821172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA DAWN BRAGGS CEO 619-201-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |