| NPI | 1063744530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN VRIEZE Biller 909-946-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A28426) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |