| NPI | 1063401461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX AMOCHAEV President 707-573-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: CA PSY12851) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |