| NPI | 1104091966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RP VIVIAN Physician 805-650-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G78890) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2013-10-22 |