| NPI | 1619963741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DUPONT President 760-635-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 19245) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-03-30 |