NPI | 1881476539 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANY AVINA Owner 858-751-9259 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0801X | |
Enumeration Date | 2023-10-17 |
Last Update Date | 2023-10-23 |