NPI | 1346094729 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHEL C CASADOS CEO/Director 559-813-0461 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TF0200X Psychologist, Forensic | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TS0200X Psychologist, School | |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |