| NPI | 1750053856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID SCHMELZLE Owner/CEO/President/Director 619-455-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |