| NPI | 1669933172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA C SILSBY President 619-994-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |