| NPI | 1841438413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LESLIE BUCCIGROSS President 858-565-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G31185) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |