| NPI | 1881831451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BURNS Organizer 858-385-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |