| NPI | 1265193957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN MICHELLE CAMARGO RUBLY CFO/CEO/Secretary/ Director 951-422-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-03-29 |