NPI | 1821480864 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON EASTON-CARR President 805-762-4739 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A111411) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2024-06-05 |