| NPI | 1598039505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANCIL E.D. JOHNSON Doctor, M.D. 831-625-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C289350-CA) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C28935) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2018-06-20 |