| NPI | 1245666270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W GATES President 949-387-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY9027) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |