| NPI | 1265451298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA ANNTOINETTE REED Owner 714-841-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G41157) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G41157) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |