| NPI | 1730493198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO A FUENZALIDA Owner 626-576-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A25157) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-08-03 |