| NPI | 1194734046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT L. POWELL President 949-363-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C24137) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2010-03-23 |