| NPI | 1639235294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WENOKUR Psychiatrist 916-451-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA 20A5621) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |