NPI | 1740677111 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE PARK CEO 949-864-6784 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A106354) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2015-04-23 |