| NPI | 1134587652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP BOWMAN CEO 310-276-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A73152) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |