| NPI | 1942444120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK E. SMITH Owner 858-530-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G49105) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-22 |