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 |