| NPI | 1588966139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GARETT President 760-327-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY5844) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2011-05-02 |