| NPI | 1821321324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANA SHEA President 619-269-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY19888) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |