| NPI | 1366420317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN FLOWERS Owner 760-799-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G77508) |
| Additional Taxonomies | 2084P0805X (Licence: CA G77508) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-07-15 |