| NPI | 1164047353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS ALLEN Owner/All Officers 619-940-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |