| NPI | 1871674929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EDWARD GRAY Owner 626-793-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G52593) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |