| NPI | 1720204258 |
|---|---|
| Other Name | FEE FOR SERVICE MIXED SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | GAIL ZWIER Behavioral Health Director 760-873-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |