| NPI | 1891707956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SIMMONS Office Manager 858-279-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA mfc24872) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |