| NPI | 1538597547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A JOHNSON Private Therapist 619-933-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCS26335) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |