| NPI | 1922314368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN LANGFORD President 818-231-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G61761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G61761) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA G61761) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |