| NPI | 1669016028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SANDBERG CEO 619-994-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 1041C0700X Social Worker, Clinical | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-06-06 |