| NPI | 1578920104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F STUBBEMAN Medical Director 424-248-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G79364) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |