| NPI | 1598365652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM BURTON Board President And CEO 760-433-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |