| NPI | 1659641702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEONARD BRAND Owner 310-306-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G50045) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2013-02-22 |