NPI | 1740647874 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER JOHNSON Psychologist 858-863-6790 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY27023) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-10-13 |