| NPI | 1083296446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA SPLAIN Director Of Credentialing 760-835-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |