| NPI | 1679207765 |
|---|---|
| Doing Business As | ADELEINE CONANAN PSYD |
| Entity Type | Organization |
| Authorized Contact | ADELEINE CONANAN LIANG Owner 619-436-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-19 |