| NPI | 1861035495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THEODORE LARDON CEO/Owner 858-292-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2020-01-03 |