| NPI | 1780446070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIE MEYERS Director 619-310-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-04-18 |