| NPI | 1194198390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN WOODS Contracting 909-907-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A66604) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |