| NPI | 1659026151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JONES Clinical Psychologist 760-498-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-10-19 |