| NPI | 1295089571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MILLER Owner 858-442-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X (Licence: CA A68180) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2023-03-08 |