| NPI | 1871018879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUTIERREZ Part Owner 310-402-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |