| NPI | 1609472646 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LIZBETH HOGUE President/ Therapist 760-951-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-06 |
| Last Update Date | 2020-12-06 |