| NPI | 1255812806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA PURI Owner 760-243-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |