| NPI | 1144694654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO (JODY) ECHEGARAY CEO 424-226-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27829) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |