| NPI | 1205339389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SCHANOWITZ Director 619-252-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20362) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-07-12 |