| NPI | 1205525243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA P ALVARADO CEO 619-228-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-09-14 |