| NPI | 1043045040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE H. DAVIS Accounting Coordinator 626-676-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |