| NPI | 1346565082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINCK ADDARIO Owner 619-291-2189 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G21620) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2011-01-24 |