NPI | 1942932025 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN ANN DEJEAN CEO 619-455-9505 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-07-19 |