| NPI | 1336638956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ARHONA EGBIKUADJE Director 661-859-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 22426) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-09-12 |