NPI | 1275030322 |
---|---|
Entity Type | Organization |
Authorized Contact | TWEE HYLER Adminstrator 818-645-6636 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A122488) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-04-06 |