| NPI | 1356701965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PAZAK Psychologist 949-363-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY17583) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |