| NPI | 1881278703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASTASSJA RACHELLE VARGAS Owner/Director 619-786-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |