| NPI | 1356652762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY POORE Biller 916-452-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A90579) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-07-28 |