| NPI | 1336679109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN FERENCIK Director, Physician Relations 951-827-7793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-06-08 |