NPI | 1245892637 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY BRAGANZA Credentailing Manager 562-403-4422 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2019-07-05 |
Last Update Date | 2019-07-05 |