| NPI | 1629098520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LYNN DAUGHERTY Office Manager 619-277-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G16786) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-03-04 |