NPI | 1710718069 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHON WHEATON Administrative Officer 619-782-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |