| NPI | 1821346040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUICH CEO 619-543-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |