| NPI | 1326792128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSEYI AWODELE Physician 760-452-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2025-04-08 |