| NPI | 1124400189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WRIGHT Owner 949-226-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A116607) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |