| NPI | 1134320740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB STEINGART Team Leader 951-734-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY 4200) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |