| NPI | 1891684601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BACON President 619-341-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |