| NPI | 1881575546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLAIR WHITESIDE Mental Health Counselor 760-553-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |