Organization · NPI-2
Mihlon Psychotherapy Corp
Clinic/Center, Mental Health (Including Community Mental Health Center) · La Mesa, CA
NPI number1831805928
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1831805928
- Entity type
- Organization (NPI-2)
- Legal business name
- Mihlon Psychotherapy Corp
- Organization subpart
- No
- Enumeration date
- Jan 23, 2023
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Mihlon Psychotherapy Corp (Former Legal Business Name)
Practice location
9400 Grossmont Summit Dr Ste 303La Mesa, CA 91941-4129
Phone 949-329-8761 · Fax 619-828-7647
Mailing address
9400 Grossmont Summit Dr Ste 303La Mesa, CA 91941-4129
Phone 949-329-8761 · Fax 619-828-7647
Authorized official
Suzanne H Mihlon
Owner/Ceo
9493298761
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