| 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 |