NPI | 1912553140 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL M LEE President 530-212-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2019-08-13 |
Last Update Date | 2023-04-18 |