| NPI | 1932832102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL COLONE Owner 951-858-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |