NPI | 1528839503 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARISSA J GOSNEY President 619-800-3811 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-01-10 |