| NPI | 1942922802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RUTGERS Executive Director 760-492-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-17 |