| NPI | 1891022059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J HENEGAR Executive Director 619-462-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSY12374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC22959) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC25362) | |
| 101YM0800X Counselor, Mental Health (Licence: CA PSY22459) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |