| NPI | 1558311373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-07-19 |