| NPI | 1992061923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLAV KUSHNIR Owner 619-585-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G24238) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |