| NPI | 1164615910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL RIVARD President 805-541-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C2754748) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |