| NPI | 1104336064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ASGARIAN Director 209-625-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 18390) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |