| NPI | 1982250601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MICHELLE SAN FILIPPO Executive Director 619-884-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |