| NPI | 1841720489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DANIELLE AMIDON Counseling Psychologist 619-846-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MT 2081) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |