| NPI | 1538637277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VAUGHAN Owner/Therapist 619-952-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-11-30 |