NPI | 1770228421 |
---|---|
Entity Type | Organization |
Authorized Contact | LUISANA ELIAS Program Operations Manager 619-450-6532 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 103T00000X Psychologist |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-04-27 |
Last Update Date | 2022-04-27 |