| NPI | 1598189375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HENRY BOTKISS Doctor 619-291-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A43273) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |