| NPI | 1497974091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDU RAGHAVAN Owner 805-496-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: CA A054464) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-07-21 |