| NPI | 1124184163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY CHARLES ROSS President 949-852-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8592) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |