| NPI | 1780098228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW SACK Medical Director 562-965-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 48835) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-07-01 |