| NPI | 1649387259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BRIAN STORRS Director 858-695-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 261QM0801X | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-08-17 |