NPI | 1275150955 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY ANN TOBIE CFO 909-987-1997 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
103TC0700X Psychologist, Clinical | |
103TF0200X Psychologist, Forensic | |
103TP0814X Psychologist, Psychoanalysis | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-08-09 |