NPI | 1598961609 |
---|---|
Doing Business As | FFS PSYCHIATRIST |
Entity Type | Organization |
Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0882 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA zzz74743z) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2023-10-05 |