| 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 Community/Behavioral Health |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-06-07 |