| NPI | 1184785297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BARSOM Owner 818-886-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A75811) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |