| NPI | 1619512522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GERAGHTY LCSW Owner/Therapist 760-575-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-10 |