| NPI | 1962981183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON D. SCHNEIDER COO, Secretary 323-688-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-09-04 |