| NPI | 1154767515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS ADAM KLEIN President/Licensed Psychologist 619-244-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 003257) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-08-06 |