| NPI | 1730071762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA WALKER Owner 619-578-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-18 |