| NPI | 1174821912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA L. JOHNSON-QUIJADA Owner 951-514-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A70270) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-10-22 |