| NPI | 1194057513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU C ROSAS Medical Director 951-506-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A97944) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |