| NPI | 1639816598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR OLSON Chief Executive Officer 858-945-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-20 |