| NPI | 1144770165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE EARLE Owner 760-243-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-11-03 |