| NPI | 1316218621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DANIEL COLLINS President 310-360-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2016-05-24 |