| NPI | 1366149973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS SUZUKI Medical Director 909-268-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |