| NPI | 1861028532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY DONBOLI Marriage And Family Therapist 858-376-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |