| NPI | 1043602980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLER H PERLMAN Psychologist 916-718-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA PSY10998) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |