| NPI | 1194467787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUIZ CEO 562-231-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |