| NPI | 1275866238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PHILLIPS SCHMID Owner 909-624-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G79451) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |