| NPI | 1386607950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M WALKER Contracts Administrator 909-395-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-10-19 |