| NPI | 1073703641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE R DEPRY Owner 559-261-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A9403) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |