| NPI | 1548858277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE SANTIAGO Owner 619-549-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |