NPI | 1992430045 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN HEISTER President 760-846-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
103TC0700X Psychologist, Clinical | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2024-05-16 |