| NPI | 1730625773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SHKEDY CFO 858-224-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: CA 1A-37-209) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2019-01-16 |