| NPI | 1003261355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLF DIPP President 619-244-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A8075) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2024-05-03 |