| NPI | 1912364175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANE E. JOHNSON Psychiatrist 951-387-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A100636) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |