| NPI | 1346669157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OT ETCHIE Owner 619-277-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A53857) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |