| NPI | 1346780905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERYN BREE CLARKE President 949-701-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A72641) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |