| NPI | 1659116051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF STEPHEN DALY Psychologist 760-439-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |