| NPI | 1003683970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERY CASON JAMERSON Owner 626-556-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist, Health Service | |
| 208100000X Physical Medicine & Rehabilitation | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-06-03 |