| NPI | 1548582364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHA MICHELLE KABBAN-MOSES Psychologist 619-770-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY21837) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2020-03-19 |