| NPI | 1942843065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLABANJI ADENIRANYE CEO 619-341-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |