| NPI | 1619462322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLY J CURTIS Owner 831-401-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY F400577) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |