| NPI | 1003261355 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RANDOLF DWIGHT 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 | 2025-09-26 |