| NPI | 1801581145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CASTRO Owner 760-492-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |