| NPI | 1700901048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T SELVAGE Owner 818-761-7498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A30587) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-07-31 |