| NPI | 1093169526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RYDER President 818-901-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA D0591483) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-04-06 |