| NPI | 1699494070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE G LOWE Clinical Psychologist 760-304-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |