| NPI | 1306603089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN MATTHEW CHRISTENSEN-GIBBONS Head Of Operations 310-913-0781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |