NPI | 1154643542 |
---|---|
Entity Type | Organization |
Authorized Contact | OGHENESUME DAVID UMUGBE President 909-329-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94047) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A94047) |
Enumeration Date | 2010-02-25 |
Last Update Date | 2025-09-16 |