| NPI | 1962949057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLA DE MAGALHAES Owner/Lmft/CEO 619-797-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 82947) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-03-01 |