| NPI | 1710797717 |
|---|---|
| Former Legal Business Name | BALBOA MENTAL HEALTH, INC. |
| Entity Type | Organization |
| Authorized Contact | SARAH HOUCK Therapist 619-848-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |