| NPI | 1700619533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARED DARCHA Manager 619-510-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |