Provider First Line Business Practice Location Address:
9550 CARMEL MOUNTAIN RD
Provider Second Line Business Practice Location Address:
OUT PATIENT PSYCHIATRY
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92129-2738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-487-9050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2007