NPI | 1881431559 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HERRING SOVORY Authorized Official 951-335-0193 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-07-10 |