| NPI | 1003182817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE STIGLICH Associate Director 562-431-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 12696) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 9161) |
| 103K00000X Behavior Analyst (Licence: CA 1084701) | |
| 103T00000X Psychologist (Licence: CA 11481) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-11-07 |