NPI | 1871809822 |
---|---|
Other Name | FACTICIOUS BUSINESS NAME |
Entity Type | Organization |
Authorized Contact | SENIORA MATTHEWS CEO/Medical Director 310-601-3074 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A93922) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2015-06-29 |