| NPI | 1770748261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MARIE VAN HIRTUM-DAS President 818-788-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A73193) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A73193) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-02-10 |