| NPI | 1306998786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D GOODMAN Director 805-473-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20248) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-06-21 |