| NPI | 1003238510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO URO BALCOS President 949-545-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A63363) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-18 |