| NPI | 1881418440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BISHOP Owner 858-750-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |