NPI | 1629315056 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH JOHN President 714-474-7461 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 84154) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-01-04 |