| NPI | 1972893766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA VIRGINIA KEMMER Office Manager 760-346-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G87039) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA G87039) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-20 |