| NPI | 1174607626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES DAVIDSON CEO 714-335-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-04-18 |