NPI | 1881864502 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL C BRADY Office Manager 310-601-4839 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C51588) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA L016401) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2024-07-24 |