| NPI | 1598933665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASYA KUPISK President 323-876-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A35087) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-12-10 |