| NPI | 1053467167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E HARRIS Administrator 562-945-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA CP6253) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-12-29 |