| NPI | 1477908507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURANCE DAVIS CRACROFT President 619-359-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G28587) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |