| NPI | 1861299554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE GERMANOS President 858-365-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |