| NPI | 1477646701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG LAWRENCE President 619-276-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C50118) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C50118) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C50118) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |