| NPI | 1144074527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL CASADOS CEO 559-813-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0200X Psychologist, Forensic | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |