| NPI | 1649064486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHITA INAMDAR Owner 619-629-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |