| NPI | 1568333078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LUCILLE KASS Owner 760-458-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |