| NPI | 1952724817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA SILVA CEO 858-964-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY22738) |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2024-03-19 |