NPI | 1578287157 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SHAWN HARVEY Owner 760-609-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 251S00000X |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2022-09-28 |
Last Update Date | 2023-06-07 |