NPI | 1174081327 |
---|---|
Doing Business As | CALMING GOAT ADDICTION MEDICINE GROUP |
Entity Type | Organization |
Authorized Contact | SOROYA BACCHUS COO 310-901-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2020-07-29 |