| NPI | 1538809967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUBIA ANGELA ANGELA PENA OFFERDAHL President 619-493-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-10-11 |