| 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 |