| NPI | 1124398151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SPEARE Owner 949-493-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G36043) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-12 |