| NPI | 1639449655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH DEMMLER Associate Executive Director 619-281-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC50132) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-06-12 |