| NPI | 1255542908 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RICHARD PAUL HEIDENFELDER President 619-435-4088  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A79836)  | 
| Enumeration Date | 2007-05-24 | 
| Last Update Date | 2013-04-08 |