| NPI | 1497056386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. RANDALL HICKS President & CEO 619-298-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G47439) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2014-03-04 |