| NPI | 1598217135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN D SEPPALA Chief Medical Officer 858-766-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |