| NPI | 1366558470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ERIC JACOBSON President 818-885-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A61016) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |