| NPI | 1407299886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEWEY GEIS President Of Corporation 805-962-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G25281) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G25281) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |