| NPI | 1073778536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH FITZGERALD Owner 760-346-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G87039) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |