| NPI | 1104998368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EARL KIRK President 661-833-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13717) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |