| NPI | 1629750823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BRANN Owner 858-926-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |