| NPI | 1669529582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH CLARK President 805-547-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A8621) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: CA 20A8621) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-03-05 |