| NPI | 1316660285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE GOSNEY Owner 619-324-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |