| NPI | 1528770385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MILLER Partner 858-442-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-10-18 |