| NPI | 1700907383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDEN C VALDEZ Owner Provider 424-400-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A52425) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-09-11 |