| NPI | 1750161618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT F FLETCHER Owner 858-239-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |