| NPI | 1942058383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN RAMON HODGES Chief Executive Officer 619-206-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |