| NPI | 1811578487 |
|---|---|
| Doing Business As | MICHELE BASILE, LMFT |
| Entity Type | Organization |
| Authorized Contact | MICHELE BASILE Owner 619-537-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |