| NPI | 1881945905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCHUKO GREGSON DIAMREYOU President 909-919-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A66432) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |