| NPI | 1235900945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BUCHANAN Founder/CEO 949-309-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |