| NPI | 1194100255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN RICE Psychiatric Nurse Practitioner/Owne 310-701-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201403432NP-PP) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |