| NPI | 1700064409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A VUKOV President/Owner 1818-956-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A38036) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2015-07-14 |