| NPI | 1730308750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENA JOYCE BLICKER President 818-240-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G19424) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |