| NPI | 1104039122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID AFYOUNI CFO General Manager 949-654-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16441) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17893) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY22848) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-06-14 |