| NPI | 1629371406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GERARD BASSANELLI President/Owner 760-341-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA G-55820) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |