| NPI | 1043415847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENISE C TRAPP Office Manager 619-291-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C25697) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2016-03-23 |