| NPI | 1700937778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RUIZ GRAVES CEO 858-344-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A67430) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA A67430) |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-09-18 |