| Organization Name: | PSYCHIATRIC CARE MEDICAL CORPORATION |
| NPI Number: | 1437175619 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLGA SEGAL (PRESIDENT) |
| Mailing Address: | 3455 Westridge Dr Kelseyville |
| State: | CA US |
| Postal Code: | 954518227 |
| Phone Number: | 7072792932 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A85774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |