| NPI | 1295193720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB EIDE Clinical Psychologist/Owner 760-920-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27059) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |