| NPI | 1679250047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE MANGANIELLO Licensed Professional Counselor 619-431-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |