| NPI | 1174618748 |
|---|---|
| Doing Business As | PSYCHIATRIC INTERVENTION MEDICAL ASSOCIATES INC. |
| Entity Type | Organization |
| Authorized Contact | THEODORE AVRAM GOODMAN President 916-386-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G35973) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-10-02 |