| NPI | 1700637196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NEWMAN COO 760-835-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-11-22 |