| NPI | 1245675412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO ANTONIO CHAVEZ President 619-344-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A115932) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |