| NPI | 1821512286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE MAULLIN President 310-699-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A87351) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-03-17 |