| NPI | 1053240903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROSS TROUSDALE Owner / Authorized Official 626-878-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |