| NPI | 1962395269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GULINO Administrator 858-208-0121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |