| NPI | 1235332461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C LEVINE President 619-588-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C34733) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |