NPI | 1093305260 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN SHULTZ Employee 310-896-5183 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |