| NPI | 1265635239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WALTON Division Chief 805-681-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-05-20 |